Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.45 / $4,723.00 / $11,627.00	Facility		$743.45	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.45 / $743.45 / $1,496.13	Professional		$743.45	$743.45	$1,496.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.63 / $880.92 / $1,424.17	Professional		$618.63	$880.92	$1,424.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.71 / $869.65 / $1,076.38	Facility		$724.71	$869.65	$1,076.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.18 / $797.18 / $805.32	Professional		$797.18	$797.18	$805.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.99 / $1,014.60 / $1,513.91	Professional		$653.99	$1,014.60	$1,513.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $724.71 / $1,041.13 / $1,508.58	Professional		$724.71	$1,041.13	$1,508.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $693.79 / $1,023.54	Professional		$115.97	$693.79	$1,023.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.60 / $978.36 / $1,668.60	Professional		$709.60	$978.36	$1,668.60